LAIKIN MARIE MADDOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172868

License Status

NOT RENEWED

Business

First Name

LAIKIN

Middle

MARIE

Last Name

MADDOX

Business Name

LAIKIN MARIE MADDOX

Original Issue Date

11/29/2006

Effective Date

09/24/2013

Expiration Date

03/31/2014

City

TILTON

State

Zip

61833

County

VERMILION

Ever Disciplined

LastModifiedDate

05/06/2014